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5645 Main Street, Flushing, NY 11355 Health Information Management Department 7186701090 Medical Record # AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA Patient Name (last name,
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7186701090 is a form used for reporting certain information to the IRS.
Certain taxpayers and organizations are required to file 7186701090 if they meet specific criteria set by the IRS.
The form should be filled out according to the instructions provided by the IRS, ensuring that all required information is accurately reported.
The purpose of 7186701090 is to collect information from taxpayers and organizations to assist the IRS in enforcing tax laws.
The form may require information such as income, deductions, credits, and other relevant tax-related details.
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